Active NPI
Dina Lim, D.O.
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1104083641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A 8089
- Practice address
- 1202 Morena Blvd
Suite 300
San Diego, CA 92110-3841 - Phone
- (646) 209-6016
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A 8089 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 20A 8089 | CA |
Addresses
Primary practice location
1202 Morena Blvd
Suite 300
San Diego, CA 92110-3841
Mailing address
1202 Morena Blvd
Suite 300
San Diego, CA 92110-3841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A 8089 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1104083641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MORENA BLVD",
"address_2": "SUITE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MORENA BLVD",
"address_2": "SUITE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103841",
"telephone_number": "646-209-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "DINA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A 8089",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "20A 8089",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.